What is a Hysteroscopy?

A hysteroscopy is a minimally invasive procedure used to look inside the uterus to diagnose or treat conditions affecting the uterine lining. The procedure uses a thin, lighted tube called a hysteroscope, which is inserted through the vagina and cervix into the uterus.

Dr. Roshi Satija is an expert in performing hysteroscopies, ensuring that her patients are comfortable and informed throughout the process.

hysteroscopy

What is Diagnostic Hysteroscopy?

Diagnostic hysteroscopy is performed to visually examine the inside of the uterus. It’s mainly used to investigate issues like unexplained infertility, abnormal bleeding, or recurrent miscarriage. The procedure involves inserting a small camera into the uterus to detect abnormalities such as fibroids, polyps, or scarring.

Dr. Roshi Satija provides detailed explanations and care for diagnostic hysteroscopies, ensuring clear diagnoses and personalized next steps.

What is Operative Hysteroscopy?

Operative hysteroscopy is a treatment version of the procedure. If a problem is identified during a diagnostic hysteroscopy (e.g., fibroids, polyps, or scarring), the same scope can be used to remove or treat the issue. This procedure is effective for many conditions and helps improve fertility and menstrual health.

Dr. Roshi Satija is highly skilled in operative hysteroscopy, providing safe and effective treatment for her patients with personalized care.

Why Would I Need a Hysteroscopy?

A hysteroscopy is recommended if you experience:

  • Abnormal menstrual bleeding (heavy periods, spotting between cycles).
  • Recurrent miscarriages or difficulty getting pregnant.
  • Uterine fibroids, polyps, or scarring that might affect fertility.
  • Unexplained pelvic pain.
  • Abnormalities detected on ultrasound or other imaging.

Dr. Roshi Satija will evaluate your condition carefully to determine if a hysteroscopy is the best diagnostic or treatment option for you.

Why is Hysteroscopy Done?

Hysteroscopy is done for both diagnostic and therapeutic purposes. It allows doctors to directly view the inside of the uterus and identify conditions that may cause symptoms such as abnormal bleeding, infertility, or pain. Therapeutically, it can also be used to treat certain uterine problems.

Dr. Roshi Satija performs hysteroscopies with precision, aiming for clear results and effective treatments to address any underlying conditions.

Who is a Candidate for Hysteroscopy?

Candidates for hysteroscopy include women with:

  • Abnormal uterine bleeding.
  • A history of miscarriage or fertility issues.
  • Uterine fibroids or polyps that interfere with pregnancy.
  • Conditions such as uterine adhesions or septums.

Dr. Roshi Satija carefully assesses each patient's condition and medical history to decide if hysteroscopy is appropriate.

When Should Hysteroscopy Be Performed?

A hysteroscopy is often performed:

  • After non-invasive tests such as ultrasounds or hysterosalpingograms (HSG) indicate abnormalities.
  • When abnormal bleeding occurs and other treatments have not been effective.
  • Prior to fertility treatments to assess the uterus and ensure there are no issues that could interfere with pregnancy.

Dr. Roshi Satija is an experienced specialist who performs hysteroscopies at the most appropriate time in your treatment plan to ensure the best outcomes.

What Happens Before a Hysteroscopy?

Before a hysteroscopy:

  • You may need to avoid eating or drinking for 6–8 hours before the procedure.
  • Medications may be prescribed to relax the cervix or manage pain.
  • You will need to have a pelvic exam or ultrasound to check your uterus before the procedure.

Dr. Roshi Satija provides clear instructions before the procedure to ensure you're fully prepared and comfortable.

What Happens During a Hysteroscopy?

During the procedure:

  • You’ll lie on your back with your legs in stirrups, similar to a pelvic exam.
  • A local or general anesthetic is used to keep you comfortable.
  • The hysteroscope is inserted through the cervix into the uterus, allowing the doctor to examine the uterine lining.
  • If needed, small surgical instruments can be inserted to treat conditions like fibroids or polyps.

Dr. Roshi Satija ensures the procedure is as painless and efficient as possible, providing support throughout the process.

What Can I Expect After a Hysteroscopy?

After the procedure, you might experience mild cramping, spotting, or light bleeding. These symptoms are common and should resolve within a few days. You’ll be able to go home the same day. However, if you had any surgical procedures (like removal of fibroids), recovery might take longer.

Dr. Roshi Satija provides tailored aftercare advice to ensure a smooth recovery process, minimizing discomfort.

What Are the Benefits of Hysteroscopy?

The benefits of hysteroscopy include:

  • Minimally invasive: Small incisions or no incisions at all, leading to faster recovery.
  • Accurate diagnosis: Direct visualization of the uterine cavity.
  • Effective treatment: Immediate treatment for certain conditions like fibroids or polyps, improving fertility.
  • Quick recovery: Most patients can resume normal activities within a few days.

Dr. Roshi Satija emphasizes the numerous benefits of hysteroscopy, especially for those with fertility concerns, helping patients achieve their reproductive goals.

What Are the Risks of Hysteroscopy?

  • Like any surgical procedure, hysteroscopy carries some risks, including:

    • Infection.
    • Bleeding or injury to the uterus.
    Rare complications like uterine perforation or damage to nearby organs.
    These risks are low, especially when the procedure is done by an experienced doctor like Dr. Roshi Satija.

How Safe is Hysteroscopy?

  • Hysteroscopy is generally very safe, especially when performed by skilled professionals. The risks are minimal, and complications are rare when performed by experienced doctors like Dr. Roshi Satija. She ensures patient safety by following the best practices and guidelines.

How Long Does It Take to Recover from Hysteroscopy?

  • Recovery time from hysteroscopy is typically short:

    • Diagnostic hysteroscopy: Most patients recover within a few days.
    • Operative hysteroscopy: You may need a week or two of rest, especially if surgical procedures were done during the hysteroscopy.

    Dr. Roshi Satija provides tailored advice for recovery, taking into account the specifics of your procedure to ensure quick healing.

How Painful is a Hysteroscopy?

  • Pain during hysteroscopy is usually minimal, as local or general anesthesia is used. You may experience mild cramping or discomfort during the procedure, but this typically subsides quickly. Pain relievers can help manage any discomfort afterward.

    Dr. Roshi Satija ensures that her patients feel as comfortable as possible, offering effective pain management throughout the process.

What Should I Expect During Recovery?

  • During recovery:

    • Expect mild cramping and light bleeding, especially in the first few days.
    • You can return to normal activities after 2–3 days but avoid strenuous exercise or heavy lifting for a week or two.
    • Follow-up appointments will be scheduled to check on your recovery progress.

    Dr. Roshi Satija will provide clear instructions and check-ins to ensure you recover smoothly after your hysteroscopy.

Hysteroscopy

FAQ's

How long does a hysteroscopy take?

A diagnostic hysteroscopy typically takes 15–30 minutes, while an operative hysteroscopy may take longer, depending on the procedure.

Yes, hysteroscopy can help identify and treat conditions like fibroids, polyps, or adhesions that may be causing infertility.

Most hysteroscopies are performed under local anesthesia, but general anesthesia may be used in some cases, particularly for more complex surgeries.

You should wait at least 1–2 weeks before resuming sexual activity to allow your uterus to heal.

Long-term risks are rare, but complications such as scarring or infection could occur, especially if surgery was performed during the procedure.

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